Yearly Archives: 2018
Center for Medicare Advocacy
Posted On: 4-1-18
Center for Medicare Advocacy With support from the John A. Hartford Foundation, the Center for Medicare Advocacy provides the following Fact Sheet to help Medicare nursing home beneficiaries and their families respond to unfair Medicare denials based on an erroneous “Improvement Standard.” The Fact Sheet emphasizes language from the...
CDC Free training course: QI Team Development
Posted On: 4-1-18
Quality Improvement Team Development is one part of the Performance Management Series. The work of a QI project is accomplished by a team of individuals, which is known as a QI Team. The purpose of the team is to design, manage, and monitor performance improvement activities to achieve the...
CDC Report on Antibiotic Resistance
Posted On: 3-30-18
CDC Report on Antibiotic Resistance CDC’s most recent Vital Signs report highlights the importance of rapid identification of new or rare resistance. This is the critical first step in CDC’s Containment Strategy to stop the spread of antibiotic resistance (AR). Once AR spreads, it is harder to control. Finding...
Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) This article informs you about Change Request (CR) 10567, which advises you that the Centers for Medicare & Medicaid Services (CMS) has revised the Skilled Nursing Facility Notice of Non-coverage (SNF ABN), Form CMS-10055. With this revision, CMS is...
Five-Star Survey Rating Methodology Change
Posted On: 3-1-18
Yesterday (2/28/18), the Centers for Medicare & Medicaid Services (CMS) changed the survey domain methodology of the Five-Star rating system. In the previous methodology, CMS used a center’s most recent three survey cycles in calculating the survey rating. In the updated methodology, CMS will use the most recent two...
CMS LTC Survey FAQs
Posted On: 2-6-18
CMS has posted an updated Q and A regarding the new survey process. The wording in the red font is new. You can find it here! Updated 2/6/18
SNF Quality Reporting Program Data Submission Deadlines
Posted On: 2-1-18
CMS has extended the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) deadlines for the calendar year (CY) 2017. Minimum Data Set (MDS) assessment data for January-December (Q1-Q4) of CY 2017 are due May 15, 2018. However, providers are encouraged to verify their MDS submissions on at least a...
SNF QRP QM Report – Data and Duplication Issues
Posted On: 1-31-18
A calculation error has been identified for the three assessment-based quality measures reported on the SNF QRP Facility- and Resident-Level QM report and the SNF QRP Review and Correct reports (NQF #0678, NQF #0674, and NQF #2631). Duplicate stays and invalid admission dates can appear on these reports. View...
CMS Targeted Probe and Educate (TPE)
Posted On: 1-18-18
CMS’s Targeted Probe and Educate (TPE) program is designed to help providers and suppliers reduce claim denials and appeals through one-on-one help. The goal: to help you quickly improve. Medicare Administrative Contractors (MACs) work with you, in person, to identify errors and help you correct them. Many common errors...
CMS LTC Survey Resources Updated
Posted On: 1-18-18
Here you will find an updated scope and severity grid. Updated 1/18/18.
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